|
| "Pete Blayney" |
01:53 |
14/08/2007 |
|
Hi Laura, some of the people I work with have been 'in the system for
sometime' and are adept at giving the required answers.
What I do is to get them to reflect internally, talk to themselves, by
adding onto the end of questions
"and I know you can tell me what you like but you must be curious about what
that inner voice is saying"?
"you don't need to tell me what you thinking but it might offer you some
choices or possibilities"?
The outer layer is the conscious which seems to be avoiding the here and now
of the session, these Erickson type questions may help slide the
possibilities into the unconscious where the seeds can grow?
Pete.
Devon
----- Original Message -----
From: "laura freeman"
To: "Pete"
Sent: Tuesday, August 14, 2007 1:04 PM
Subject: [members] advice
> Hi everyone, I'm just after some adivce and ideas and would be grateful
> for any help...
>
> I'm doing some 'offence work' with a client at the moment (I work in a
> medium-secure forensic setting), aimed at enabling the person to keep
> themeselves and others safe after they've been discharged (ie not
> re-offend). we've gotten as far as putting together a staying well plan
> for the future, which my client seemed to enjoy and said he will find
> useful. However, he is very good at intellectualizing within sessions and
> saying what he thinks others want to hear but I dont really get the sense
> that he's actually thinking about anything we discuss or that anything is
> really changing for him. can anyone tell me what a solution focused way
> of tackling this might be? Both the team and i are still concerend about
> future risk and he is always willing to meet with me but we're all feeling
> quite stuck. One problem may be that this gentleman's preferred future is
> not that different to his life in hospital, altough he does say he really
> wants to move on.
> best wishes
> Laura
>
> _________________________________________________________________
> Got a favourite clothes shop, bar or restaurant? Share your local
> knowledge http://www.backofmyhand.com
>
>
>
>
> --
> No virus found in this incoming message.
> Checked by AVG Free Edition. Version: 7.5.476 / Virus Database:
> 269.11.17/951 - Release Date: 13/08/2007 10:15
>
>
)
|
|
| "Harvey Ratner" |
01:43 |
14/08/2007 |
|
Dear Laura
This is quite a difficult situation for sol foc people. What can we do
when we don't believe a client? (or any variation on that, like suspect
they're fooling themselves etc).
"Standard" sf would, I think, say we can't know better than the client
and so we can only wait to see what the client actually does. This is
particularly pertinent in a situation like yours where, if I've
understood correctly, the client is not out in the "real world" and so
we don't know what he's actually gonna do when he gets out there. If
such a client doesn't follow thru on what they said they would do then
we can ask later what they "really" want.
In a situation of "risk" like your work context our doubt about a
client's "real" intentions could lead us to asking questions about the
confidence significant others' have in the client's likelihood to do
and/or maintain progress. Even then we are reliant on the client's view.
I can remember a child protection case I was involved with where I had
everyone in the room (family members and various professionals) scale
the children's safety. I joined in at the end, saying where I thought
things were at. I knew, because I wasn't the key worker but only a
therapist, that I didn't need to give my view but I decided to do so
anyway. The perpetrator of the abuse (father), who rated things at a 10
(!) was able to hear the different views of others and what they thought
would be signs of progress.
This was a more challenging application of sf practice than I'm used to
but I would say that in situations of risk we can't hide behind an idea
that we're only doing therapy. Protection comes before therapy.
Hope this is useful.
I'll be interested to hear the ideas of others.
Harvey Ratner
BRIEF
-----Original Message-----
From: members@ukasfp.co.uk [mailto:members@ukasfp.co.uk] On Behalf Of
laura freeman
Sent: 14 August 2007 13:05
To: Harvey Ratner
Subject: [members] advice
Hi everyone, I'm just after some adivce and ideas and would be grateful
for
any help...
I'm doing some 'offence work' with a client at the moment (I work in a
medium-secure forensic setting), aimed at enabling the person to keep
themeselves and others safe after they've been discharged (ie not
re-offend). we've gotten as far as putting together a staying well plan
for
the future, which my client seemed to enjoy and said he will find
useful.
However, he is very good at intellectualizing within sessions and saying
what he thinks others want to hear but I dont really get the sense that
he's
actually thinking about anything we discuss or that anything is really
changing for him. can anyone tell me what a solution focused way of
tackling this might be? Both the team and i are still concerend about
future risk and he is always willing to meet with me but we're all
feeling
quite stuck. One problem may be that this gentleman's preferred future
is
not that different to his life in hospital, altough he does say he
really
wants to move on.
best wishes
Laura
_________________________________________________________________
Got a favourite clothes shop, bar or restaurant? Share your local
knowledge
http://www.backofmyhand.com
)
|
|
| "laura freeman" |
12:04 |
14/08/2007 |
|
Hi everyone, I'm just after some adivce and ideas and would be grateful for
any help...
I'm doing some 'offence work' with a client at the moment (I work in a
medium-secure forensic setting), aimed at enabling the person to keep
themeselves and others safe after they've been discharged (ie not
re-offend). we've gotten as far as putting together a staying well plan for
the future, which my client seemed to enjoy and said he will find useful.
However, he is very good at intellectualizing within sessions and saying
what he thinks others want to hear but I dont really get the sense that he's
actually thinking about anything we discuss or that anything is really
changing for him. can anyone tell me what a solution focused way of
tackling this might be? Both the team and i are still concerend about
future risk and he is always willing to meet with me but we're all feeling
quite stuck. One problem may be that this gentleman's preferred future is
not that different to his life in hospital, altough he does say he really
wants to move on.
best wishes
Laura
_________________________________________________________________
Got a favourite clothes shop, bar or restaurant? Share your local knowledge
http://www.backofmyhand.com
)
|
|
| "David Steare" |
02:29 |
14/08/2007 |
|
Hi Laura,
The devil may or may not be in the detail, but in this particular context
perhaps safety is in the detail. I would have thought that the more detail
this offender can provide about how he will keep safe in the future the
more likely it will be that the imagined safe future will happen.
Some useful tools you may have or not adapted: Andrew Turnell & Steve
Edward's 'Signs of Safety' planning form, the DBT coping diary card and
'My little book of WRAP'.
When I worked in adolescent forensics I liked to use 'the hairs on the
back of my neck' assessment tool - not very scientific but it probably
saved my life on numerous occasions!
Best wishes
David
-----Original Message-----
From: members@ukasfp.co.uk [mailto:members@ukasfp.co.uk] On Behalf Of laura
freeman
Sent: 14 August 2007 13:05
To: David
Subject: [members] advice
Hi everyone, I'm just after some adivce and ideas and would be grateful for
any help...
I'm doing some 'offence work' with a client at the moment (I work in a
medium-secure forensic setting), aimed at enabling the person to keep
themeselves and others safe after they've been discharged (ie not
re-offend). we've gotten as far as putting together a staying well plan for
the future, which my client seemed to enjoy and said he will find useful.
However, he is very good at intellectualizing within sessions and saying
what he thinks others want to hear but I dont really get the sense that he's
actually thinking about anything we discuss or that anything is really
changing for him. can anyone tell me what a solution focused way of
tackling this might be? Both the team and i are still concerend about
future risk and he is always willing to meet with me but we're all feeling
quite stuck. One problem may be that this gentleman's preferred future is
not that different to his life in hospital, altough he does say he really
wants to move on.
best wishes
Laura
)
|
|
| "Bryan Thornton" |
07:43 |
14/08/2007 |
|
Hi Laura,
How would you know that anything is 'really changing for him?'
What would be the first small signs of this?
How much of this is already happening?
How would you find this out?
You say you're feeling stuck, so what would 'unstuck' look like, for you, the team, for him?
How close do you think you are to his current place? How would you know that?
I guess my idea of a SF approach to this is to remain curious and 'always on the way' to understanding. That way, you might not know where you're headed, but stuck would not have a place in the construction!!
Hope this is useful
Bryan
laura freeman wrote:
Hi everyone, I'm just after some adivce and ideas and would be grateful for
any help...
I'm doing some 'offence work' with a client at the moment (I work in a
medium-secure forensic setting), aimed at enabling the person to keep
themeselves and others safe after they've been discharged (ie not
re-offend). we've gotten as far as putting together a staying well plan for
the future, which my client seemed to enjoy and said he will find useful.
However, he is very good at intellectualizing within sessions and saying
what he thinks others want to hear but I dont really get the sense that he's
actually thinking about anything we discuss or that anything is really
changing for him. can anyone tell me what a solution focused way of
tackling this might be? Both the team and i are still concerend about
future risk and he is always willing to meet with me but we're all feeling
quite stuck. One problem may be that this gentleman's preferred future is
not that different to his life in hospital, altough he does say he really
wants to move on.
best wishes
Laura
_________________________________________________________________
Got a favourite clothes shop, bar or restaurant? Share your local knowledge
http://www.backofmyhand.com
---------------------------------
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|
|
| "Mark Allenby" |
08:13 |
14/08/2007 |
|
Hi Laura,
you have posted a really interesting situation. It
certainly seems to have got a lot of us thinking.
I have a couple of things that might be worth thinking
about. The first is that you say that the man is
always willing to me with you. You could begin to
wonder out loud with him about what it is in the
sessions he finds worth doing. As someone has already
said the aim will be to work on helping him put these
things in concrete, non-intellectual terms.
Secondly, I used to work with a pyschiatrist who said,
"When all else fails, tell the truth." I think the
point he was making is to be honest with this man
about your feelings of stuckness and your doubts. Tell
him that you think it might be easy for him to know
all the right things to say and do in a nice safe
medium secure unit, but out in the 'real world' things
are going to be a lot tougher for him. What would let
him and others know he was coping with that?
Something else you might try and do to get some more
realism in the plans is to begin exploring what will
let him know it is time to do some of the things you
have been talking about.
This has a nice paradox in it, if he recognises no
warning signs, he will always be at risk of a slip.
Anyway that is enough now.
Mark
--- laura freeman
wrote:
> Hi everyone, I'm just after some adivce and ideas
> and would be grateful for
> any help...
>
> I'm doing some 'offence work' with a client at the
> moment (I work in a
> medium-secure forensic setting), aimed at enabling
> the person to keep
> themeselves and others safe after they've been
> discharged (ie not
> re-offend). we've gotten as far as putting together
> a staying well plan for
> the future, which my client seemed to enjoy and said
> he will find useful.
> However, he is very good at intellectualizing within
> sessions and saying
> what he thinks others want to hear but I dont really
> get the sense that he's
> actually thinking about anything we discuss or that
> anything is really
> changing for him. can anyone tell me what a
> solution focused way of
> tackling this might be? Both the team and i are
> still concerend about
> future risk and he is always willing to meet with me
> but we're all feeling
> quite stuck. One problem may be that this
> gentleman's preferred future is
> not that different to his life in hospital, altough
> he does say he really
> wants to move on.
> best wishes
> Laura
>
>
_________________________________________________________________
> Got a favourite clothes shop, bar or restaurant?
> Share your local knowledge
> http://www.backofmyhand.com
>
>
>
___________________________________________________________
Want ideas for reducing your carbon footprint? Visit Yahoo! For Good http://uk.promotions.yahoo.com/forgood/environment.html
)
|
|
| "Lee, Spirit Of ISIS" |
09:39 |
15/08/2007 |
|
Hi Laura,
I used to work in a mental health rehab unit, and found the whole SF concept
rather daunting as we had so many stake holders to SF: the client, other
team members, social workers, psychiatrists, CPN's, community support
workers, parents, the list is endless.
I came to the conclusion that a vast majority of clients were as
professional as the professionals at 'giving what they thought the person
wanted to hear'. So I deconstructed the service and produced a guide to
working with clients which accepted the fact that 'lying and denying' were a
common response, and feeding back the lying and denying was an essential
part of SF, in order to assist the client move towards their stated goals.
Only then could a client shift the goals towards reality. However, to
remain within the SF framework the feedback has to be handled very
carefully.
The main point is to take your own expectations out of the situation and
purely work with what is being presented as the preferred future, and work
back from there. However, that usually presents problems for other
professionals who don't really understand how SF works, and the small steps
that are required to move clients towards a reality that all else are able
to see (which is the problem focused way).
If the clients preferred future is not too different to being in hospital,
then you have the starting point, not a problem.
I did post a copy of the guide on the UKSFA website, if its still there. It
might be of use, I'm not sure.
Lee
__________________________________
Lee Stevens
Spirit Of ISIS
Email: lee@crystalsandhealing.co.uk
Web: www.crystalsandhealing.co.uk
-----Original Message-----
From: members@ukasfp.co.uk [mailto:members@ukasfp.co.uk] On Behalf Of laura
freeman
Sent: 14 August 2007 13:05
To: Lee
Subject: [members] advice
Hi everyone, I'm just after some adivce and ideas and would be grateful for
any help...
I'm doing some 'offence work' with a client at the moment (I work in a
medium-secure forensic setting), aimed at enabling the person to keep
themeselves and others safe after they've been discharged (ie not
re-offend). we've gotten as far as putting together a staying well plan for
the future, which my client seemed to enjoy and said he will find useful.
However, he is very good at intellectualizing within sessions and saying
what he thinks others want to hear but I dont really get the sense that he's
actually thinking about anything we discuss or that anything is really
changing for him. can anyone tell me what a solution focused way of
tackling this might be? Both the team and i are still concerend about
future risk and he is always willing to meet with me but we're all feeling
quite stuck. One problem may be that this gentleman's preferred future is
not that different to his life in hospital, altough he does say he really
wants to move on.
best wishes
Laura
_________________________________________________________________
Got a favourite clothes shop, bar or restaurant? Share your local knowledge
http://www.backofmyhand.com
)
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